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I' <br /> 1 <br /> ( I 1 <br /> PERMIT APPLICATION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERETT, WA 98201 <br /> 425-257-8810— FAX 425-.:57-8857—www.everettwa.org <br /> APPLICATIONS ARE ACCEPTED FROM 8 Ai�A TO 4 PM 3 -aq `�7/ <br /> SITE ADDRESS PARCEL TAX I.D.# PERMIT# �1 <br /> 1208 48TH ST SE <br /> ooao�so�sooaoo ('� � aa3 - U � <br /> LEGAL LOT NO. BLOCK TRACT <br /> DESC. <br /> OWNER ADDRESS pTl21P PFiONE <br /> JUDITH HANER same as site address 98'203 425-259-3022 <br /> TFNANT NAME CONTACT FOR PERMIT PHONE <br /> ICyndal/Naida 360-945-2787 <br /> CONTRACTOR \A;ESCO ADDRESS pTl21P PHONE <br /> �� 2800 Thorndyke SEATTLF 800-398-4663 <br /> CONTR.LICENSE N W A SHIES97 1 OB <br /> !� <br /> USE OF BUILDING HEAT SOURCE CONTRACT PRICE OF WORK <br /> residential I _Electric �Gas_Cther I 950.00 <br /> WORK DESCRIPTION <br /> REPLACE GAS 50 GALLON HOT WATER HEATER <br /> PLUMBING MECHANICAL <br /> NO. TYPE OF FIXTURE OR ITEM NO. TYPE OF FIXTURE OR ITEM <br /> Toilet _ A1C—air handling units <br /> Bathtub _ Forced air systems <br /> Lavatory(wash basin) _ Gas piping <br /> Shower � Water heater <br /> Kitchen sink&disposal _ Gas fireplace <br /> Dishv.asher _ Gas range <br /> Clothes washer _ Clothes dryer <br /> Laundry tray _ Range hood <br /> Sink(service/bar/mop/etc.) _ Exhaustfan <br /> Backflow preventer _ Heat pump <br /> Urinal _ Untt heater <br /> Drinking Fountain _ Boiler <br /> Floor drain _ Refrigeration <br /> Greasetrap _ Woodstove <br /> Roof drains Other <br /> other — <br /> dTY OF EVERETT LOCAL SALES TAX CODE IS 3105 <br /> I hereby ceritity thst I have read and examined this application and hnowthe same to be true and correct. All provisions of laws and <br /> ordinaces goveming this type of work will be complied with whether specifietl herein or not.The grenting of a permit does not presume <br /> to give authority to violate or cancel the provision of any other state or local law regulating oonstruction or the performance of <br /> construaion. That I am authorized by the owner of this property to perform the work for which application is made and I comply with the <br /> State Contractors Law 18.27 RCW antl 296.200 WAC. <br /> ' 3/28/12 <br /> Signature of OwnerlContractor/Authori=etl Agen[ Date <br />